Substance Use Disorders/Motivational Interviewing Flashcards
When you are interviewing a patient, should you use medical terminology?
No, medical terminology should be avoided if possible and the use of age appropriate language should be utilized to get the most effective answers/establish rapport
Why is motivational interviewing used in history taking?
It helps to promote self-motivation for the patient
What are the aspects of motivational interviewing?
Goal-oriented
Language of change
Coaching process
Motivate positive behavior change
What is an important aspect of motivational interviewing?
Empowerment of the individual
What is the most common and harmful form of child maltreatment?
Neglect
What is the largest preventable risk factor in the top 10 leading causes of death?
Substance misuse
What is an example of hazardous use?
Acute intoxication episodes
Are self-report tests valid and reliable?
Yes
Should you interview an intoxicated paitent?
No, they can be deceptive and defensive in their answers. Only interview a sober patient
What are the two international screening tests for substance misuse?
AUDIT and ASSIST
When you are asking a patient about drug use, should you use their formal names?
No, use the names the patient uses (ie; marijuana->weed, MJ, mary jane, edibles, etc.)
When using ASSIST, is question 5 used for the tobacco use assessment?
No, it is not valid for this drug
Are relapses expected in patients with SUD during their quitting process?
Yes, relapses should be expected
As part of the motivational interviewing process, what is an important part of enhancing self-motivation?
Personalized feedback
Withdrawal symptoms:
-autonomic hyperactivity
-increased hand tremor
-insomnia
-nausea/vomitting/diarrhea
-transient visual, auditory, or tactile hallucinations
-psychomotor agitation
-generalized tonic-colonic seizures (DT’s)
Alcohol withdrawal
Withdrawal symptoms:
-irritability, anger, depression
-nervousness, anxiety
-sleep difficulties
-decreased appetite/weight loss
-restlessness
-abdominal pain, shakiness/tremors, sweating, fever, chills, headaches
Cannabis withdrawal
Withdrawal syndrome:
-moodiness
-N/V/D
-muscle aches
-lacrimination, rhinorrhea
-yawning
-pupillary dilation, piloerection, sweating
-fever
-insomnia
Opioid withdrawal
Withdrawal syndrome:
-fatigue
-vivid, unpleasant dreams
-insomnia or hypersomnia
-increased appetite
-psychomotor retardation or agitation
Stimulant withdrawal
Withdrawal syndrome:
-irritability, frustration, anger
-anxiety
-difficulty concentrating
-increased appetite or weight gain
-restlessness
-depressed mood
-insomnia
-decreased HR
Tobacco withdrawal
Key findings/physical exam:
-Extreme fussiness/irritability
-facial bruising
-subconjunctival or retinal hemorrhages
-difficulty staying awake
-breathing problems
-lethargy, poor feeding, vomitting
-pale/bluish skin
-seizures, damage to spinal cord or neck, fractures of the ribs and bones, cognitive impairments, behavioral problems
-CP, paralysis, coma
Abusive head trauma
Stage of change:
Individual is not yet considering change or is unwilling or unable to change
Stage 1: precontemplation
Stage of change:
Individual recognizes the possibility of change, but is ambivalent and uncertain
Stage 2: contemplation
Stage of change:
Individual is committed to changing, but is still considering what to do
Stage 3: determination
Stage of change:
Individual is taking steps towards change, but the change is not yet stabilized
Stage 4: action
Stage of change:
Individual’s goals have been achieved and efforts are focused on maintaining the change
Stage 5: maintenance
Stage of change:
Individual’s goals have been achieved and efforts are focused on maintaining the change
Stage 5: maintenance
Stage of change:
Individual experiences a recurrence/relapse of the old behaviors and is deciding what to do next
Stage 6: recurrence
